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Individual

DR. RUSTY J WALKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
7501 W DESCHUTES PL, KENNEWICK, WA 99336-7719
(509) 783-1960
(509) 783-7576
Mailing address
7501 W DESCHUTES PL, KENNEWICK, WA 99336-7719
(509) 783-1960
(509) 783-7576

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DE00008974
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5036546
WA
05
5036876
WA
01
CS10000319
CONSCIOUS SEDATION
WA
Enumeration date
10/11/2006
Last updated
03/07/2023
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